Provider Demographics
NPI:1720085053
Name:MIDDLEBELT-HOPE ACQUISITION COMPANY, INC.
Entity Type:Organization
Organization Name:MIDDLEBELT-HOPE ACQUISITION COMPANY, INC.
Other - Org Name:REGENCY AT LIVONIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ASHRAF
Authorized Official - Last Name:QAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-386-0300
Mailing Address - Street 1:14900 MIDDLEBELT RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-4033
Mailing Address - Country:US
Mailing Address - Phone:734-425-4200
Mailing Address - Fax:734-425-4327
Practice Address - Street 1:14900 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-4033
Practice Address - Country:US
Practice Address - Phone:734-425-4200
Practice Address - Fax:734-425-4327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CIENA HEALTHCARE MANAGEMENT, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-01
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4270891Medicaid
MIS9551OtherBCBSM
MI4270891Medicaid